Individual
JEAN L KRAFT
Active
Individual
JEAN L KRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01037614S
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000091482
ANTHEM
IN
05
—
100320930
—
IN
Enumeration date
06/15/2006
Last updated
08/16/2012
Update your record
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